If not, what sections did you review?

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2. To what aspect of the work do you object? Please be specific.

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3. In what ways does the objection you raise make the work undesirable for student use?

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4. What do you feel might be the result of a student using this material?

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5. Can you state any positive features of this material in whole or in part?

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6. Are you aware of the judgment of this material by professional critics?

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7. What do you believe is the main idea of this material?

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8. Do you think this work might be appropriate for another age or maturity level or when used only under the guidance of a teacher or teacher-librarian?

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9. In place of this material, would you recommend other works on the same subjects that you would consider more appropriate?

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Date: ___________________________

School: _________________________________________________

Signature of Complainant: ____________________________________________

Signature of Principal: ____________________________________________